KIMBERLY COUNCIL SLP
NPI 1437869781
Speech-Language Pathologist in St Augustine, FL

Active since November 28, 2022Accepts Medicare Assignment
190 SOUTHPARK BLVD STE 100, ST AUGUSTINE, FL 32086(904) 824-1478 Get Directions Write a Review

NPPES record last updated: October 23, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kimberly Council Slp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY COUNCIL SLP (NPI 1437869781) is an individual speech-language pathologist provider in St Augustine, Florida, licensed in Florida (SA10077) and active in the NPI registry since November 2022. She maintains a secondary practice location in Saint Johns and is a graduate of Other (2008).

NPPES Registry Identity

NPI1437869781
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameKIMBERLY COUNCILCredential: SLP
Location Address190 SOUTHPARK BLVD STE 100St Augustine, FL 32086-4209
Mailing Address107 Wild Rose DrSaint Johns, FL 32259-8470 · (706) 540-9051
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 28, 2022
Last NPPES UpdateOctober 23, 2024
NPPES CertifiedOctober 23, 2024
NPI 1437869781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License Licensed in FL · SA10077
Definition

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

190 SOUTHPARK BLVD STE 100, St Augustine, FL 32086

Secondary Practice Location 1

Location 12430 County Road 210 W Ste BSaint Johns, FL 32259-2419 · Phone (904) 717-7782

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kimberly Council Slp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3274067723
PECOS Enrollment IDI20241106004308

Other Providers at the Same Location


The following 8 providers are registered at the same or a nearby location.

Speech-Language Pathologist
190 SOUTHPARK BLVD STE 100
ST AUGUSTINE, FL 32086
Physical Therapist
190 SOUTHPARK BLVD STE 100
ST AUGUSTINE, FL 32086
Speech-Language Pathologist
190 SOUTHPARK BLVD STE 100
ST AUGUSTINE, FL 32086
Physical Therapist
190 SOUTHPARK BLVD STE 100
ST AUGUSTINE, FL 32086
Physical Therapist (Neurology)
190 SOUTHPARK BLVD STE 100
SAINT AUGUSTINE, FL 32086
Physical Therapist
190 SOUTHPARK BLVD STE 100
SAINT AUGUSTINE, FL 32086
Physical Therapist
190 SOUTHPARK BLVD STE 100
ST AUGUSTINE, FL 32086
Physical Therapist
190 SOUTHPARK BLVD STE 100
ST AUGUSTINE, FL 32086

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1437869781, enumerated as an "individual" on November 28, 2022.

The provider is located at 190 SOUTHPARK BLVD STE 100 ST AUGUSTINE, FL 32086 and the phone number is (904) 824-1478.

Speech-Language Pathologist with taxonomy code 235Z00000X.